Individual provider Active NPI

Jonathan Pasma, DO

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Spokane, WA
National Provider Identifier
1003179409
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
OP60630779 Issued in WA
Practice address
1303 W Summit Pkwy Lowr Level1
Spokane, WA 99201-7033
Phone
(509) 579-4300
NPI assigned
Jun 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X OP60630779 WA Primary

Addresses

Primary practice location

1303 W Summit Pkwy Lowr Level1
Spokane, WA 99201-7033

Mailing address

1303 W Summit Pkwy Lowr Level1
Spokane, WA 99201-7033
Phone (509) 579-4300

Other identifiers 1

IdentifierTypeStateIssuer
0426901OtherWASTATE OF WASHINGTON DEPARTMENT OF LABOR AND INSTUSTRIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drpasma@tri-regen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2018 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60630779WAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1003179409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W SUMMIT PKWY LOWR LEVEL1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017033",
            "telephone_number": "509-579-4300",
            "fax_number": "509-317-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W SUMMIT PKWY LOWR LEVEL1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017033",
            "telephone_number": "509-579-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASMA",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WA",
            "license": "OP60630779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON DEPARTMENT OF LABOR AND INSTUSTRIES",
            "identifier": "0426901",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpasma@tri-regen.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email addresss",
            "address_1": "1303 W Summit Pkwy Lowr Level1",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992017033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.